Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $117.49	Facility		$74.13	$83.18	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $117.49	Professional		$72.44	$74.13	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $79.43 / $257.04	Facility		$74.13	$79.43	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Facility		$69.18	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $131.83	Facility		$74.13	$83.18	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $309.03	Professional		$66.07	$77.62	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $93.33	Facility		$74.13	$85.11	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $83.18	Professional		$67.61	$74.13	$83.18